Online Proposal Form

The deadline for proposals is October 17, 2014. Please provide all the information that applies to you.

Full name

Smith ID number

Phone

E-mail

Address during winter break

City

State

Zip

Campus Box # (students)

Campus Address (faculty/staff)

I am ...

Course Information

Title of proposed course (should not exceeed 12 words)

Dates of Proposed Course

Write "1" next to week most preferable, and "2" next to an alternative week. If your course carries over into another week, please mark the first week with 1a and the second week with 1b. Classes begin the second week of the interterm period.

Week One: January 5 - 9

Week Two: January 12 - 16

No preference (give me either week)

Times of Proposed Course

For scheduling purposes, please try to offer your course at the same time for each day of the week. Mark "1" next to the most preferable time and "2" next to an alternative time.